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目的观察磁疗结合中药封包热敷疗法对儿童肱骨髁上骨折内固定术后骨折愈合的临床疗效。方法将行闭合复位克氏针内固定后的肱骨髁上骨折患儿54例,按不同的康复疗法分成磁疗组(A组)、中药封包热敷组(B组)及磁疗与中药封包热敷结合组(C组),各18例。3组患儿均于康复治疗4周后行X线摄片检查,评价其骨折愈合程度并判断疗效。结果 C组患儿局部疼痛及肿胀消失或明显减轻,上肢活动度明显改善,X线摄片检查结果显示,其骨折愈合程度显著优于A组和B组(P<0.05),但A组和B组患儿的骨折愈合程度无明显差异(P>0.05)。结论磁疗结合中药封包热敷疗法能有效促进儿童肱骨髁上骨折内固定术后肢体功能恢复,操作简便易行,值得临床推广。
Objective To observe the clinical effect of magnetic therapy combined with traditional Chinese medicine package thermal therapy on fracture healing of supracondylar fractures of humerus in children. Methods Fifty-four children with supracondylar humerus fractures after closed reduction and Kirschner wire fixation were divided into two groups according to different rehabilitation methods: group A, group B, group B, Combination group (C group), each 18 cases. Three groups of children were in the rehabilitation treatment for 4 weeks after X-ray examination to assess the degree of fracture healing and to determine the efficacy. Results The pain and swelling of the children in group C disappeared or obviously reduced, and the activity of upper limbs was significantly improved. The results of X-ray examination showed that the degree of fracture healing was significantly better than that of group A and B (P <0.05) There was no significant difference in the degree of fracture healing in group B (P> 0.05). Conclusion Magnetic therapy combined with traditional Chinese medicine package heat therapy can effectively promote the recovery of limb function in children with supracondylar fracture of humerus, which is easy to operate and is worthy of clinical promotion.